She is senior editor of Managed Healthcare Executive.
Any bill paid on time means good news for an MCO, right? Not so fast. What if it wasn't paid properly? What if the provider or hospital facility was under- or overpaid? When processing medical claims, it pays-literally-for managed care organizations and providers to get it right the first time.
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All of the computer information technology in the world does no good if you don't have the discipline to act on what it's telling you to do. Not only does Kent Clapp, chairman, president and CEO of Medical Mutual of Ohio, apply this principle to running his own organization, he believes it's equally relevant to healthcare consumers.
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